Organization
GIL ASCUNCE, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIL ASCUNCE M.D (PRESIDENT)
(703) 524-4792
Entity
Organization
Contact information
Practice address
1715 N GEORGE MASON DR STE 410, ARLINGTON, VA 22205-3666
(703) 524-4792
(703) 276-7487
Mailing address
1715 N GEORGE MASON DR STE 410, ARLINGTON, VA 22205-3666
(703) 524-4792
(703) 276-7487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101029897
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005733
ANTHEM
—
05
—
006078591
—
VA
01
—
2450-0001
BLUE CROSS/ BLUE SHIELD
—
01
—
290836
ALLIANCE
—
01
—
4249306
AETNA
—
Enumeration date
09/28/2010
Last updated
09/28/2010
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